Identities and other details were not immediately available. KHQ-TV reported that the couple had two children, who were found safe.

Deaconess Medical Center is a multi-building complex next to Interstate 90 in downtown Spokane, a city of 210,000 people in eastern Washington.

The shooting happened on the seventh floor of the Rockwood Cancer Treatment Center, police said. Other people were in the office where the shooting occurred, police said. The area was immediately evacuated.